RUSSELL WAYNE ICKE

WICHITA, KS
NPI1134113319
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: KS  10352)
Enumeration Date2005-09-02
Last Update Date2010-07-28
Business Address
Dr. RUSSELL WAYNE ICKE OD
7050 E LINCOLN ST
WICHITA, KS 67207-2638
Phone number: 316-683-9671
Mailing Address
Dr. RUSSELL WAYNE ICKE OD
7050 E LINCOLN ST
WICHITA, KS 67207-2638
Phone number: 316-683-9671
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